Doctor Name: | DR. JOHN WILLIAM HAYNES |
NPI Number: | 1013940972 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 11961 |
Business Practice Address: | 508 Hulon Lane West Columbia, SC - 29169 |
Business Phone Number: | 8037912460 |
Business Fax Number: | 8037912519 |
Mailing Address: | 2720 Sunset Blvd, WEST COLUMBIA |
State: | SC |
Postal Code: | 291694810 |
Phone Number: | 8037912460 |
Fax Number: | 8037912519 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 10/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 11961 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |